| NPI | 1619500394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSMAS LYKOS CEO 808-200-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |